Inspection Reports for Community Manor
783 WEBER ROAD, FARMINGTON, MO, 63640-3318
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
9.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
69% worse than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
97 residents
Based on a June 2025 inspection.
Census over time
Inspection Report
Routine
Census: 97
Deficiencies: 11
Jun 6, 2025
Visit Reason
The inspection was conducted as a routine survey to assess compliance with regulatory requirements related to resident care, medication administration, infection control, food safety, and environmental safety.
Findings
The facility was found deficient in multiple areas including failure to provide required Medicare notices, inadequate documentation of resident transfers and bed-hold policies, inaccurate resident assessments, incomplete care plans, medication errors, improper dialysis care, unsafe infection control practices, food storage and sanitation issues, and unsafe environmental conditions such as items stored on overbed light fixtures.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 10
Level of Harm - Potential for minimal harm: 1
Deficiencies (11)
| Description | Severity |
|---|---|
| Failed to provide Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) and Notice of Medicare Non-Coverage (NOMNC) to residents discharged from Medicare Part A with benefit days remaining. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to notify residents or representatives in writing of hospital transfers and bed-hold policies. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to document accurate Minimum Data Set (MDS) assessments reflecting resident medication use. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to update and revise care plans with specific interventions to meet individual resident needs. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to obtain and follow physician orders timely after pharmacist recommendations and allowed CNA to perform duties outside scope of practice. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to ensure proper tracheostomy care including suctioning and infection control practices. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to obtain correct dialysis orders specific to resident's port access instead of fistula. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to maintain medication error rate below 5%, with errors in medication administration and handling. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to procure, store, and prepare food in sanitary conditions, including expired and undated food items and unclean kitchen environment. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to implement infection prevention and control practices including enhanced barrier precautions, hand hygiene, wound care, urinary catheter care, medication administration, and blood glucose monitoring. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to maintain a safe environment by allowing items to be stored on overbed light fixtures in resident rooms. | Level of Harm - Potential for minimal harm |
Report Facts
Medication errors: 4
Facility census: 97
Residents affected: 2
Residents affected: 4
Residents affected: 3
Residents affected: 1
Residents affected: 1
Residents affected: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| LPN I | Licensed Practical Nurse | Named in findings related to improper tracheostomy care and infection control breaches. |
| CMT K | Certified Medication Technician | Named in medication administration errors including dropping medication and poor hand hygiene. |
| ADON G | Assistant Director of Nursing | Provided clarifications on dialysis orders and medication errors. |
| DON | Director of Nursing | Provided expectations on care plans, medication administration, and infection control. |
| Administrator | Provided expectations on regulatory compliance and care standards. | |
| CNA F | Certified Nurse Aide | Named in infection control breaches during peri and catheter care. |
| CNA O | Certified Nurse Aide | Named in infection control breaches during peri and catheter care. |
| LPN J | Licensed Practical Nurse | Named in medication administration and infection control breaches. |
| LPN N | Licensed Practical Nurse | Named in infection control breaches during insulin administration. |
| LPN L | Licensed Practical Nurse | Named in infection control breaches during gastrostomy tube dressing change. |
Inspection Report
Routine
Census: 96
Deficiencies: 8
Jun 21, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident assessments, medication administration, restorative services, nutrition, dialysis care, food safety, infection control, and quality assurance.
Findings
The facility was found deficient in multiple areas including inaccurate resident assessments, failure to follow physician's medication orders, incomplete restorative nursing services, inadequate nutrition monitoring and communication, lack of dialysis care documentation and monitoring, improper food storage and sanitation practices, failure to maintain required QAPI committee attendance, and lapses in infection control practices.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 7
Level of Harm - Potential for minimal harm: 1
Deficiencies (8)
| Description | Severity |
|---|---|
| Failed to document an accurate Minimum Data Set (MDS) for one resident. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to follow physician's orders for medication administration for one resident. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to perform restorative nursing services as ordered for two residents. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to ensure Registered Dietician's recommendations for weight loss were provided to the physician and implemented for one resident. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to provide documentation of ongoing assessments, monitoring, and communication related to dialysis care for one resident. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to store and distribute food under sanitary conditions, increasing risk of cross-contamination and food-borne illness. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to maintain quarterly Quality Assurance and Improvement Program (QAPI) committee meetings with required members. | Level of Harm - Potential for minimal harm |
| Failed to maintain proper infection control practices during resident care and failed to provide appropriate documentation of tuberculosis testing for five residents. | Level of Harm - Minimal harm or potential for actual harm |
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 2
Residents affected: 1
Residents affected: 1
Residents affected: 96
Residents affected: 96
Residents affected: 5
Inspection Report
Census: 98
Deficiencies: 1
Apr 29, 2024
Visit Reason
The inspection was conducted to evaluate the facility's compliance with professional standards of quality, specifically regarding notification to residents' families or next of kin after a change in condition or new injuries.
Findings
The facility failed to notify the family or next of kin for two of three sampled residents after changes in condition or new injuries such as skin tears and bruising. Documentation of notifications was lacking, and interviews with staff confirmed inconsistent notification practices.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to notify a resident's family or next of kin for two of three sampled residents after a change in condition or new injuries. | Level of Harm - Minimal harm or potential for actual harm |
Report Facts
Facility census: 98
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| RN A | Registered Nurse | Interviewed regarding facility policy on notification of family or next of kin |
| RN B | Registered Nurse | Interviewed regarding notification practices and documentation |
| Hospice Clinical Director | Interviewed about family concerns regarding lack of notification | |
| Director of Nursing | Director of Nursing | Interviewed about expectations for nursing notification and documentation |
Inspection Report
Routine
Census: 95
Deficiencies: 8
Feb 23, 2023
Visit Reason
The inspection was conducted to assess compliance with Medicare and Medicaid regulations, including resident assessments, care planning, hygiene, trauma-informed care, immunizations, and environmental safety.
Findings
The facility was found deficient in multiple areas including failure to issue required Medicare notices, incomplete significant change assessments, inaccurate resident assessments, incomplete care plans, inadequate assistance with activities of daily living, failure to provide trauma-informed care, improper garbage disposal, and failure to document immunizations or refusals.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 8
Deficiencies (8)
| Description | Severity |
|---|---|
| Failed to issue Medicare Skilled Nursing Facility Advance Beneficiary Notice and Notice of Medicare Non-Coverage forms as required. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to complete significant change assessments within 14 days for residents admitted to hospice care. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to accurately code Minimum Data Set assessments for several residents. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to implement comprehensive care plans addressing all resident needs including catheter care, anticoagulants, psychotropic medications, oxygen therapy, and mental health diagnoses. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to provide adequate assistance with personal hygiene including hair care and oral hygiene for residents unable to perform these tasks. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to identify, assess, and provide trauma-informed care and supportive interventions for a resident with Post-Traumatic Stress Disorder. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to maintain covered trash containers in the kitchen and maintain dumpster area to prevent pests and contamination. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to provide and document influenza and pneumococcal vaccinations or refusals with education for residents. | Level of Harm - Minimal harm or potential for actual harm |
Report Facts
Residents affected: 2
Residents affected: 3
Residents affected: 4
Residents affected: 2
Residents affected: 1
Residents affected: 4
Facility census: 95
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